{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T07:09:59Z","timestamp":1789628999298,"version":"build-2803163510"},"reference-count":24,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T00:00:00Z","timestamp":1767139200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T00:00:00Z","timestamp":1767139200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["esskajournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Anterior cruciate ligament (ACL) injury remains one of the most impactful injuries in pivoting sports, with non\u2010contact mechanisms accounting for the majority of cases and offering a clear target for prevention. Robust evidence\u2014including multiple Level 1 meta\u2010analyses\u2014demonstrates that structured neuromuscular training (NMT) programs can reduce ACL injury rates by approximately 50%, particularly among youth and female athletes. Effective programs are multicomponent, integrate strength, plyometrics, agility, balance and movement\u2010quality feedback, and require adequate training dose and in\u2010season continuity. Despite this well\u2010established evidence base, real\u2010world implementation remains limited. Coaches and sports organisations frequently report barriers such as time constraints, competing performance priorities and low confidence in delivering prevention exercises. This disconnect reflects a broader implementation gap: while we know what works, we are not consistently doing it. Insights from implementation science, including JBI's phased models, facilitation strategies and context\u2010driven frameworks, provide a roadmap for translating evidence into sustained practice. Reframing prevention as performance\u2010enhancing movement training and embedding programs such as the ESSKA \u2018Prevention for All\u2019 initiative into coaching pathways and club standards are essential system\u2010level strategies. The priority is no longer proving efficacy, but achieving widespread, high\u2010fidelity implementation so that ACL prevention becomes a routine component of athlete preparation.<\/jats:p>","DOI":"10.1002\/ksa.70258","type":"journal-article","created":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T13:02:27Z","timestamp":1767186147000},"page":"1930-1934","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["The implementation gap in anterior cruciate ligament prevention programs\u2014From evidence to everyday practice"],"prefix":"10.1002","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4916-1206","authenticated-orcid":false,"given":"Robert","family":"Prill","sequence":"first","affiliation":[{"name":"Center of Orthopaedics and Traumatology University Hospital Brandenburg\/Havel, Brandenburg Medical School Theodor Fontane Brandenburg\/Havel Germany"},{"name":"Faculty of Health Sciences Brandenburg Brandenburg Medical School Theodor Fontane Brandenburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-2939-7370","authenticated-orcid":false,"given":"Aleksandra","family":"Kr\u00f3likowska","sequence":"additional","affiliation":[{"name":"Physiotherapy Research Laboratory Faculty of Physiotherapy, Wroclaw Medical University, University Centre of Physiotherapy and Rehabilitation Wroclaw Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0108-5750","authenticated-orcid":false,"given":"Marko","family":"Ostoijc","sequence":"additional","affiliation":[{"name":"Traumatology Department, Sports Traumatology Division \u201cDra\u0161kovi\u0107eva\u201d University Hospital \u201cSisters of Mercy\u201d Zagreb Croatia"},{"name":"Osteon Orthopaedics and Sports Medicine Clinic Mostar Bosnia and 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